Organization
ADULT DAY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED JAMA (PRESIDENT)
(612) 979-5599
Entity
Organization
Contact information
Practice address
4016 BLOOMINGTON AVE, MINNEAPOLIS, MN 55407-3331
(612) 979-5599
(612) 351-2671
Mailing address
4016 BLOOMINGTON AVE, MINNEAPOLIS, MN 55407-3331
(612) 979-5599
(612) 351-2671
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A767155000
—
MN
Enumeration date
06/20/2025
Last updated
06/20/2025
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